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R75 - Inconclusive laboratory evidence of human immunodeficiency virus [HIV]

ICD-10-CM Chapter 18: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified · R70-R79 Abnormal findings on examination of blood, without diagnosis (R70-R79) · Top-level category · FY2027

Applicable To

Inclusion terms listed under R75 in the ICD-10-CM tabular list.

  • Nonconclusive HIV-test finding in infants

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom R75

Mutually exclusive: these conditions are never reported together with this code.

  • asymptomatic human immunodeficiency virus [HIV] infection status (Z21)
  • human immunodeficiency virus [HIV] disease (B20)
Excludes 2 — Not Included HereFrom R70-R79 Abnormal findings on examination of blood, without diagnosis (R70-R79)

Not part of this code; report both codes when the patient has both conditions.

  • abnormal findings on antenatal screening of mother (O28.-)
  • abnormalities of lipids (E78.-)
  • abnormalities of platelets and thrombocytes (D69.-)
  • abnormalities of white blood cells classified elsewhere (D70-D72)
  • coagulation hemorrhagic disorders (D65-D68)
  • diagnostic abnormal findings classified elsewhere - see Alphabetical Index
  • hemorrhagic and hematological disorders of newborn (P50-P61)
Excludes 2 — Not Included HereFrom Chapter R00-R99

Not part of this code; report both codes when the patient has both conditions.

  • abnormal findings on antenatal screening of mother (O28.-)
  • certain conditions originating in the perinatal period (P04-P96)
  • signs and symptoms classified in the body system chapters
  • signs and symptoms of breast (N63, N64.5)
NotesFrom Chapter R00-R99

Instructional notes from the ICD-10-CM tabular list.

  • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
  • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
  • The conditions and signs or symptoms included in categories R00-R94 consist of:
  • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
  • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
  • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
  • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
  • (e) cases in which a more precise diagnosis was not available for any other reason;
  • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Inpatient DRG Payments

DRG 8142,080 discharges

Reticuloendothelial And Immunity Disorders With Mcc

Avg. Medicare Payment

$21,543

Total Payment$27,115
Patient Responsibility$5,572
Hospital Charge$118,948
DRG 8152,292 discharges

Reticuloendothelial And Immunity Disorders With Cc

Avg. Medicare Payment

$8,740

Total Payment$11,649
Patient Responsibility$2,910
Hospital Charge$55,967